Provider Demographics
NPI:1265402945
Name:CABUNGCAL, RAMON APUYAN (DMD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:APUYAN
Last Name:CABUNGCAL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5565 GROSSMONT CENTER DR STE 3
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-3007
Mailing Address - Country:US
Mailing Address - Phone:619-370-4878
Mailing Address - Fax:
Practice Address - Street 1:5565 GROSSMONT CENTER DR STE 3
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3007
Practice Address - Country:US
Practice Address - Phone:619-370-4878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA554301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice